Security guards

[studentnurse9806]

Does your facility have security? If so what's the ratio? Or do u have just one ? Thanks in advance

[fiba]

I agree.

In those times wherein we have to put our hands on a pt, take them to seclusion and restrain them, it's our own staff that does it. We are also trained in these "take down" techniques.

I wish we had on site security, but we don't.

I say this about CPI because when I was in school or through volunteer, the psychologists/counselors would be very adamant about CPI working.

Ex- if the patient was told by the nurse to take the medication and the patient refused, the counselor said some nurses would get into more conflict, by demanding medication to be taken.

That the nurse instead should say " would you like to take your meds with some juice" I told the counselor speaker, what if that does not work?

She said most of the time it should work. Same with the prof he has worked in the criminal justice system.

Honestly though I really feel they have not been in the situation enough times or are in some denial lol I mean some needs need to be taken at the hour indicated so things don't get worse later on.

There kind of is a need for the med to be taken right away. Sorry for the rant, but I just would like to see what reaction or reasoning these workers would have when a patient is agitated and attempts to attack them.

That's good you are trained in the take down techniques, I assumed so in Canada most staff are trained in a provincial violence prevention program for health care.

[Stephalump]

I say this about CPI because when I was in school or through volunteer, the psychologists/counselors would be very adamant about CPI working.

Ex- if the patient was told by the nurse to take the medication and the patient refused, the counselor said some nurses would get into more conflict, by demanding medication to be taken.

That the nurse instead should say " would you like to take your meds with some juice" I told the counselor speaker, what if that does not work?

She said most of the time it should work. Same with the prof he has worked in the criminal justice system.

Honestly though I really feel they have not been in the situation enough times or are in some denial lol I mean some needs need to be taken at the hour indicated so things don't get worse later on.

There kind of is a need for the med to be taken right away. Sorry for the rant, but I just would like to see what reaction or reasoning these workers would have when a patient is agitated and attempts to attack them.

That's good you are trained in the take down techniques, I assumed so in Canada most staff are trained in a provincial violence prevention program for health care.

I had to laugh out loud at the idea that all of my medication restraints could've been avoided by something so simple....JUICE!!!

I'll admit, sometimes if you know a patient well enough and they're maybe just stubborn or feeling like they need to be in control there are non-confrontational ways to get things done. I had one patient who would ignore me when I asked him to come take his meds and it would turn into a battle . So instead of telling him it was time, I would tell him I had them ready whenever HE was ready, and he'd come to the med room within 10 minutes on his own.

But for the most part? My patients refused because they're psychotic/paranoid. Juice ain't gonna solve anyone's problems.

[vintagemother, BSN, CNA, LVN, RN]

When I worked in an acute hospital, there was a "code gray" team for emergencies involving mental disorders. I always felt safe when that team came running!

There were also security guards on 24-7 to assist with assaultive Pts.

I now work acute psych and LTC psych, we have no security guards, but do have mental health aides.

[fiba]

I had to laugh out loud at the idea that all of my medication restraints could've been avoided by something so simple....JUICE!!!

I'll admit, sometimes if you know a patient well enough and they're maybe just stubborn or feeling like they need to be in control there are non-confrontational ways to get things done. I had one patient who would ignore me when I asked him to come take his meds and it would turn into a battle . So instead of telling him it was time, I would tell him I had them ready whenever HE was ready, and he'd come to the med room within 10 minutes on his own.

But for the most part? My patients refused because they're psychotic/paranoid. Juice ain't gonna solve anyone's problems.

haha Juice!

[PeacockMaiden]

In my experience, sometimes CPI techniques don't work. Although the management will tell you that they should work, and if they don't then it's something you did wrong.

[302queenpa]

We have 2 guards in the Er/crisis unit 24 hrs they are trained in Cpi but for some reason can not go hand to hand that is all staff. I think it is because they are a private contractor.

[pixiestudent2]

I worked at a fairly large psych facility.

There was a huge safety team.

And they all came running when we called.

But there have been so many incidents at the hospital... They have been on the news a lot in recent years....

[Davey Do]

Security, at the Facility where I am employed, is referred to as "Safety". For reasons of Political Correctness, I guess. But "Safety" sends a more positive message. For once upon a time, Security was a little TOO proactive, acting like Police Officers and taking over the situation.

Akin to what fiba posted, the Safety Guards are now present to assist in the Intervention, without Hands On unless absolutely necessary. According to Strict Guidelines, the RN is ultimately responsible, and in charge of, the Intervention.

On the Midnght Shift, there are ample Safety Guards, covering the Grounds, ER, and Rounding throughout the Facility. During the Day and Evening Shifts, a Safety Guard is also present for the Adolescent and Adult Psychiatric Units.

[Jules A, MSN]

VA was the best because they had military police, although not on the unit, available which was effective in deterring the behaviors most time just by their presence on the unit. At other hospitals I have worked they have all had a security officers available although as someone pointed out sometimes they are effective and sometimes they are fairly useless but please let's not start the ageism accusations again, lol.